HomeMy WebLinkAbout1990-003213 - demo PERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: E.��i LC�i��fii
Crystal Bay, Minnesota 55323 Date Issued: "�-'�''�i�'
(612) 473-7357 ���:I`;�`�/'�;.;
SITE ADDRESS:
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DESCRIPTION:
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FEE SUMMARY:
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CONTRACTOR: OWNER:
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
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CITY OF aR02�10 Ak�LICATZON FOR DBMQLITIO� P}�RN7T
P.d. Hox 66 (1335 So Brown Rd)
Cz'ystal Bay, MN 55323
1�F'ECIAL CONDITZpNS & HOLb HARMLESS AGRF�'MENT
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G�riexa� Zastruct�ons
1• You may be requi��d to obtain vther permit�, �.�. burn�.ng, we I1
abandonmmen�, etc.
2• Wozk mus� nati begin unless �he perm�t oard is available on th� ]ab
site.
3. All work must be �r�sp��ted be�ore it �6 covered. Call 47�-7357.
� �4 goax rro�cz c$ �s ��IIzxsn -
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J�g SITl3 ADDRESS: .EiC�C'c5 Y"p rI�T �D�
a�cupanay T���: __ xesic�en�ial �C�nut�e�cial
oWNER'8 N,����= P�� �; � �A v� Phone: � .��� adcSO
Ma�.ling Addr�s�. ����.
CONTRAC�OR'S NAMS= � L G � Bus. No. : ,�/-a�
Mail�ng �ddsess: C —� � ����
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J��moli�ion �f planned by means o�: ✓manua,l disass�mb�y h�a vy equipment
✓burning (by fixe departmen�.?
Pe�mi�s Issuedz
# Burn�ng rix'e Aepaz'tmez�t
#� W��1 Abandanmenk,
In r��urn far �ssuanc� Q� said DemQlitiori P�rmi�, the unders�gned owner
hereby agr��s as fa�Zow6s
1• Th� S�ructure(s) shalZ be kept en�lo6ed and secured until sv��h �.ime as
clemolit�on is comg���e.
2. bemolXtion deb�i� will. be ke�t aff adjo�ning Fz���r�y �nd/or the
pubZic xa.gh�s-of-way unieas speoific prlor a�;proval i.� abi�ain�d ir�
wr�.tiny for tez��porary use therea£.
3. A]. � demoli.t�oz� debris w� ll be complete?.y disposed of off ��te $n ��
' approved land�i ]� � and in acoordance wi�h aIl a�� licable riCA
reqc�irements (including �punda�f.On).
4 • Upan cample�ipn, �n@ �c,rf�hin 5 working days a� superstxucture rempval,
�he sit� shall b� xeft cl�an and c],ear of a.11 deb�3.s, with any
excava�fan f�. � lec� with earth, Ievel with the adja�ent ground
elevation, exce�t when such excavatiion is ta b� used a� �ar� of a new
building and such new bu�Zding is ac�ua�.ly under C:C�I75tYUG�:�-OA.
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5. T2i� unr3ez'siqned owner sha7. 1 and hereby da�s indemn�fy and hol�
hazmless the Ci�y of Orono► the City Council , an� the agen�s and
emp loyees ot �he City £�'om anc�- �gainst a 1 J. claim�, damage�, �osges or
expen��s, inc�.uding e�ttozney ��es, which the City, City Counc�. l and
agenta and employees of the City ntay auffer or for which it smy be
held liable Ar�sing out af or reBultinq fxam the asBertiinn agAi.nst
them o£ any claima , debts or obl.igations �.n odn6eqUence of the
8emol�tion �escrik��d herei.n g9 perfaxmed by t}�e� praperty owner, h�.s
employ�es, r�gents or subcontractQrs, whether �r not eaused in part bX
a pa�� inr3emn�.fied hereunser.
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PERMIT TYPB AND FEA CAT.CIILATION
$50 . 00 Pzinci.pal Structure
�3p .00 1�ccessory Structure
l. Subtotal. af above perm�.� reques��d $ d'
u,o
2. Stat� Sur�harge S /• � .� ���
3 . TOTAL PERMIT FEE �add . 1.ines 1-2 above) 5 �' °p"O
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the undersigned hereby applies tQ the City of Orvno for issuance of a
Demolition Permit�, agrees ta do al � work in s�rict gccorc3ance with the
ardinancEs of the City �nd the regulations of the S�ate of Minnesota, �nd
certifies that a�l statements mac3e on th�.s applica�ion are complete, true
and carrect.
SIGNATIIRB OF APPLIGANT: - ` Date: � ��